Provider Demographics
NPI:1477790533
Name:PARIKH, AMI (DPM)
Entity type:Individual
Prefix:DR
First Name:AMI
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:AMI
Other - Middle Name:
Other - Last Name:PARIKH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:112 ELDEN ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4874
Mailing Address - Country:US
Mailing Address - Phone:703-437-5353
Mailing Address - Fax:
Practice Address - Street 1:112 ELDEN ST
Practice Address - Street 2:SUITE D
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4874
Practice Address - Country:US
Practice Address - Phone:703-437-5353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103301005213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1629428750OtherGROUP NPI DME SPRINGFIELD
1770828527OtherGROUP NPI